Thomas K Huisman, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

D0051808 Issued in MD

Practice address

7704 Matapeake Business Dr
Suite 310
Brandywine, MD 20613-3023

Phone

(301) 868-0202

Fax

(301) 868-2331

NPI assigned

Apr 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chiarmamonte Huisman Zorn Urology LLC

  • Urology Physician
  • Clinton, MD
  • NPI 1568508273
  NPD (past) Authorized official
• Fairview Uro Center LLC

  • Ambulatory Surgical Clinic/Center
  • White Plains, MD
  • NPI 1790978112
  NPD (past)
• Chesapeake Urology Associates, LLC

  • Urology Physician
  • Seaford, DE
  • NPI 1043719123
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1982661211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CROSSROADS DR",
            "address_2": "SUITE 306",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175421",
            "telephone_number": "443-738-2872",
            "fax_number": "443-738-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7704 MATAPEAKE BUSINESS DR",
            "address_2": "SUITE 310",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133023",
            "telephone_number": "301-868-0202",
            "fax_number": "301-868-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUISMAN",
        "first_name": "THOMAS",
        "middle_name": "K",
        "name_prefix": "Prof.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MD",
            "license": "D0051808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006300200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel N Hill, PTA
• Keisha Natasha Hinds, CRNP
• Concetta Renee Holloway-Anthony, DO
• Jennifer N Hooker, CCC-SLP
• Lakeesha D Hope-Pritchett, LCSW-C
• Carlisa Jean Hurtt
• Ana R Ibanez
• Ike Disposable & Durable Medical Supply
• Innersense Behavioral Health, Inc.
• Inspirational Care

• Urology Physician in Brandywine, MD
• Providers in Brandywine, MD by specialty
• Urology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.